RULEMAKING: Medicaid - Notices of Intent

Amends the provisions governing the allocation of waiver opportunities in the New Opportunities Waiver (NOW) to revise the criteria for qualification for NOW emergency opportunities, simplify the allocation process for NOW emergency opportunities, and facilitate faster access to NOW emergency services for qualified individuals.

Amends the provisions governing federally qualified health centers in order to allow certified medical assistants to apply fluoride varnish under the direction of a certified physician, and to establish training requirements for appliers of fluoride varnish.

Amends the provisions governing the Facility Need Review (FNR) program in order to provide exceptions pertaining to the expiration of FNR approvals for beds that are de-licensed and decertified when facilities undergo major alterations.

Continues the provisions of the March 5, 2015 Emergency Rule which repealed the provisions governing disproportionate share hospital (DSH) payments for Mental Health Emergency Room Extensions in order to eliminate these DSH payments.

Continues the provisions of the October 1, 2014 and the May 20, 2015 Emergency Rules which repealed the October 20, 1994 Rule governing non-emergency medical transportation (NEMT) services in order to revise the provisions governing NEMT services, amend the provisions governing the reimbursement methodology for NEMT services to replace the monthly payment of capitated rates with a monthly per trip payment methodology, incorporate provisions governing appeals rights for denials and partial denials of NEMT services and to ensure that these provisions are appropriately promulgated in a codified format for inclusion in the Louisiana Administrative Code.

Amends the provisions governing Medicaid financial eligibility in order to incorporate reasonable limits on incurred medical expense deductions in long-term care financial eligibility determinations, and to promulgate these provisions in a codified format for inclusion in the Louisiana Administrative Code.

Amends the provisions governing the licensing standards in order to further clarify these provisions to comply with the directives of House Concurrent Resolution 92 of the 2015 Regular Session of the Louisiana Legislature.

Amends the provisions governing the licensing standards in order to further clarify these provisions to comply with the directives of House Concurrent Resolution 92 of the 2015 Regular Session of the Louisiana Legislature.

Repeals and replaces the provisions governing recipient appeals and fair hearings in the May 20, 1996 Rule in order to update the provisions to be consistent with current operations, and to repromulgate the provisions in a clear and concise manner for inclusion in the Louisiana Administrative Code.